Managing Inclusion4Guidelines for Head Teachers2016

SHETLAND ISLANDS COUNCIL

SCHOOLS SERVICE

ASN ASSESSMENT PROFORMA

Date of Planning Meeting
Function of Meeting / Co-ordinated Support Plan Request from -
(Tick one box only) / Review of CSP
Review of GIRFEC Child’s Plan
Additional Support Needs Meeting
Name of Pupil / Date of Birth
School/Centre / SEEMIS No
Class / Co-ordinator (CSP)

(A) CO-ORDINATED SUPPORT PLAN – DECISION TEMPLATE

The following notes provide guidance and refer to the relevant chapters and pages of the Code of Practice (CoP) which should be considered when completing the decision template. The ‘decision tree’ on page 53 of the CoP should be considered as the core reference.

(The Act defines the criteria for a Co-ordinated Support Plan and ALL of the following factors must apply.) / Yes √
1. RESPONSIBILITY
The Education authority is responsible for the school education of the child or young person
(Code of Practice p 48)
2. IDENTIFIED NEEDS
The pupil has additional support needs
(CoP pp 15-18)
3. FACTORS GIVING RISE TO ADDITIONAL SUPPORT NEEDS
The factor(s) which lead to a significant adverse effect on the pupil’s education are:-
(a) COMPLEX (CoP pp 50 – 51) (a)
and/or
(b) MULTIPLE (CoP pp 50 – 51)(b)
(NB - YES to either (a) or (b) above is in effect YES to Question 3)
4. DURATION
The additional support needs are likely to continue for more than a year (CoP p 52)
5. SUPPORT FROM WITHIN EDUCATION [School/Education Services]
There is a need for substantial and significant additional support from the Education Dept
(ie ‘a continuing requirement for high level adaptation or elaboration of the curriculum and learning environment’) (CoP pp 50 – 53)
6. EXTERNAL SUPPORT FROM ONE OR MORE APPROPRIATE AGENCIES1
Significant additional support from the following agency(ies) is required to ensure educational progress (CoP pp 50 – 53) as follows:- / Support provided is (√):-
Substantial / Direct / Continuing
(a) Social Work Department
(b) Health Board Services ie:-
Speech & Language Therapy
Physiotherapy
Occupational Therapy
Other (specify):-
(c) Other external agency (specify):-

1NB YES (√) in 6 (a) to 6 (d) must be corroborated by the signature of appropriate agency/ies representative/s overleaf.

If you have been unable to record YES (√ ) against any question, it is likely that the appropriate additional support planning mechanism will be the IEP and NOT the CSP. Please proceed to complete section B overleaf.

B. Summary of Additional Support Currently Being Provided for the Above Pupil

(a)Support from within the school

(eg) from Pupil Support, Support for Learning, Learning Support Worker,Classroom Assistant, Behaviour Support)

Identified Need (Insert description of need being addressed by support described below):-
Nature of Support(Insert details of nature, purpose and source of support):- / Frequency of Support eg 3 x week / Anticipated Duration eg 18 months

(b)Support from Education Services(eg from Outreach Support, Pre-School Teacher, Sensory Service, Additional Support Team, Ed. Psych)

Identified Need (Insert description of need being addressed by support described below) / Frequency of Support
eg 3 x week / Anticipated Duration
eg 18 months
Nature of Support (Insert details of nature, purpose and source of support)

(c)External support from partner agency/ies(eg NHS Shetland, Social Work, Voluntary Sector, Shetland College)

Identified Need (Insert description of need being addressed by support described below) / Frequency of Support
eg 3 x week / Anticipated Duration
eg 18 months
Nature of Support (Insert details of nature, purpose and source of support)

(d)Does the pupil have any identified unmet educational need/s? (If so, use the following space to give details)

Unmet Needs (Insert those educational needs which have been identified but are not currently addressed in the support package described above) / Identified by:-

Conclusion(tick appropriate box)

Co-ordinated Support Plan with IEP – Named CSP Co-ordinator (CoP P65)
GIRFEC Child’s Plan
Individualised Educational Programme with no CSP
Further Assessment/s required (please provide details below)
Type of Assessment / Reasons
Signed / Post / School

The following signature/s are necessary to validate responses made to questions 6 (a) to 6 (d) on page 1

Signed
Signed
Signed / Post / Agency
Agency
Agency
Post
Post
Date

Please forward this form with other accompanying information to:- Head of School Service, Education Service, Hayfield House, Lerwick

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